Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $36.57 / $93.85	Professional		$34.54	$36.57	$93.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $25.55 / $94.66	Professional	26	$22.33	$25.55	$94.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $11.48 / $46.85	Professional	TC	$9.88	$11.48	$46.85
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $285.52 / $285.52 / $285.52	Facility		$285.52	$285.52	$285.52
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $148.72 / $148.72 / $148.72	Facility	26	$148.72	$148.72	$148.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $83.37 / $342.09	Professional		$35.56	$83.37	$342.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $48.72 / $250.96	Professional	26	$22.41	$48.72	$250.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $40.95 / $250.96	Professional	TC	$12.30	$40.95	$250.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $48.88	Facility		$48.88	$48.88	$48.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $108.88 / $169.13	Professional		$79.43	$108.88	$169.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $56.67 / $76.53	Professional	26	$34.45	$56.67	$76.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $48.69 / $98.36	Professional		$27.06	$48.69	$98.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $29.85 / $54.65	Professional	26	$15.70	$29.85	$54.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.98 / $15.92 / $45.15	Professional	TC	$9.98	$15.92	$45.15
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $47.39 / $90.67	Professional		$31.98	$47.39	$90.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $118.56 / $169.07	Professional		$39.81	$118.56	$169.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $73.41 / $95.32	Professional	26	$38.27	$73.41	$95.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $58.06 / $78.31	Professional	TC	$30.72	$58.06	$78.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $99.95 / $206.73	Professional		$42.89	$99.95	$206.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $285.52 / $285.52 / $285.52	Facility		$285.52	$285.52	$285.52
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $148.72 / $148.72 / $148.72	Facility	26	$148.72	$148.72	$148.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $77.81 / $342.09	Professional		$33.92	$77.81	$342.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $21.75 / $47.11 / $250.96	Professional	26	$21.75	$47.11	$250.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $11.39 / $34.34 / $250.96	Professional	TC	$11.39	$34.34	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $62.83 / $160.41	Professional		$33.72	$62.83	$160.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $33.65 / $90.78	Professional	26	$19.60	$33.65	$90.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.89 / $24.53 / $58.58	Professional	TC	$8.89	$24.53	$58.58